EP2785267B1 - Appareil et procédé destinés à supporter un bras robotique - Google Patents

Appareil et procédé destinés à supporter un bras robotique Download PDF

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Publication number
EP2785267B1
EP2785267B1 EP11876682.3A EP11876682A EP2785267B1 EP 2785267 B1 EP2785267 B1 EP 2785267B1 EP 11876682 A EP11876682 A EP 11876682A EP 2785267 B1 EP2785267 B1 EP 2785267B1
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EP
European Patent Office
Prior art keywords
robotic
robotic arm
curved support
support
surgical
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
EP11876682.3A
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German (de)
English (en)
Other versions
EP2785267A4 (fr
EP2785267A1 (fr
Inventor
Alexander Shvartsberg
Robert A. Charles
Robert J. Mccaffrey
James J. KENNEDY III
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Titan Medical Inc
Original Assignee
Titan Medical Inc
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Publication date
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Publication of EP2785267A4 publication Critical patent/EP2785267A4/fr
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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/50—Supports for surgical instruments, e.g. articulated arms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B25—HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
    • B25J—MANIPULATORS; CHAMBERS PROVIDED WITH MANIPULATION DEVICES
    • B25J18/00—Arms
    • B25J18/005—Arms having a curved shape
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B25—HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
    • B25J—MANIPULATORS; CHAMBERS PROVIDED WITH MANIPULATION DEVICES
    • B25J5/00—Manipulators mounted on wheels or on carriages
    • B25J5/02—Manipulators mounted on wheels or on carriages travelling along a guideway
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B25—HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
    • B25J—MANIPULATORS; CHAMBERS PROVIDED WITH MANIPULATION DEVICES
    • B25J9/00—Programme-controlled manipulators
    • B25J9/0084—Programme-controlled manipulators comprising a plurality of manipulators
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/50—Supports for surgical instruments, e.g. articulated arms
    • A61B2090/506—Supports for surgical instruments, e.g. articulated arms using a parallelogram linkage, e.g. panthograph

Definitions

  • the present specification here relates in general to a field of robotic instruments, and more particularly, to a robotic system for use in surgery.
  • MIS minimal invasive surgery
  • US5746362A describes a method and apparatus for determining positional information about an object and then using this information to position instruments in relation to the object.
  • US6264665B1 describes a system for ocular ultramicrosurgery which isolates the hands of a surgeon from the patient and provides increased positioning accuracy and speed to make practical the routine application of ultramicrosurgical operations to the eye.
  • US2009041565A1 describes a mechanism which constrains the spatial location of a working or a focal point of a tool and has a manipulator and a remote centre mechanism mounted thereon.
  • JP2008017903A describes an endoscope holding device composed of an arm to bring the distal end of the endoscope to the upper part of the affect region of a patient.
  • WO2010068005A2 describes a bed mount surgical robot for performing a surgical procedure on a patient lying on an operating bed using a surgical instrument mounted on an end portion of a robot arm.
  • JP2003079638A describes am operating robot comprising treatment instrument connected to the leading end of a manipulator
  • US2008019607A1 describes methods and systems to correct for various types of ring artifacts, including circular artifacts, partial ring artifacts, elliptical artifacts and variable intensity artifacts.
  • US2007156122A1 describes an apparatus including a linkage and a balancing mechanism coupled to the linkage around a pivotal joint.
  • WO2011122862A2 describes a fixed four-node link in which four links are joined together in a hinged fashion.
  • the member may be configured to position the curved support relative to a surface of a surgical table.
  • the curved support may be further configured to support the robotic arm at a plurality of locations.
  • the curved support may include a support rail disposed on the curved support.
  • the curved support includes a plurality of robotic arm rails disposed on the curved support.
  • the robotic arm rails are configured to slidably support the robotic arms.
  • the member may include a first portion and a second portion.
  • the first portion pivotally is connected to the second portion.
  • the curved support may be rotatably connected to the second end of the member.
  • the base unit 120 can also house various other components.
  • the base unit 120 can include mechanical controls (not shown), or electrical controls (not shown), or both.
  • the mechanical controls can control gears, cables or other motion transfer mechanisms (not shown) connected to a motor, or other mechanical driver such as a hydraulic system, for moving various components of the surgical apparatus 108 and/or the robotic arm 128.
  • a control panel is disposed on the base 120 and configured to receive input associated with a movement of a component of the surgical apparatus 108, such as the member 124 or the robotic arm 128.
  • electrical signals or electromagnetic signals can be received from an external input device (not shown) to control the movements of other components of the surgical apparatus 108.
  • the member 124 is generally configured to support the curved support 126, the robotic arm 128, and their associated movements. Therefore, in the present embodiment the member 124 acts as a support connected to the base 120 at a first end and to the curved support 126 at a second end.
  • the member 124 is constructed of materials that are mechanically structured to support the weight of the curved support 126, the robotic arm 128, and their associated movements.
  • the member 124 can be constructed from materials such that it is rigid enough to be suspended above the patient P.
  • suitable materials from which the member 124 can be constructed include steel, titanium, aluminum, plastics, composites and other materials commonly used to provide structural support.
  • the curved support 126 is generally configured to support the robotic arm 128 and its associated movements.
  • the curved support 126 is substantially "C-shaped" and is connected to the member 124 approximately at the center. It is to be understood that the connection point of the curved support 126 is not particularly limited.
  • the curved support 126 can be connected to the member 124 at one end of the curved support in certain applications.
  • the curved support 126 can be constructed of materials that are mechanically structured to support the weight of the robotic arm 128 and its associated movements. Some examples of suitable materials from which the curved support 126 is constructed include steel, titanium, aluminum, plastics, composites and other materials commonly used to provide structural support.
  • the degrees of freedom of the robotic arm 128 are not particularly limited and the robotic arm 128 can have any number of degrees of freedom as well as different types of degrees of freedom.
  • a degree of freedom refers to an ability to move according to a specific motion.
  • a degree of freedom can include a rotation of the robotic arm 128 or a component thereof about a single axis. Therefore, for each axis of rotation, the robotic arm 128 is said to have a unique degree of freedom.
  • Another example of a degree of freedom can include a translational movement along a path.
  • the robotic arm 128 can include an actuator for extending and contracting a portion of the robotic arm 128 linearly. It will now be apparent that each additional degree of freedom increases the versatility of the robotic arm 128.
  • the member 124 can also include various degrees of freedom. It will now be apparent that each additional degree of freedom increases the versatility of the surgical apparatus 108.
  • the degrees of freedom of the robotic arm 128 fall generally into two different categories.
  • One category includes non-surgical degrees of freedom.
  • Non-surgical degrees of freedom refer to degrees of freedom which are adjusted prior to the surgical procedure. Once the surgical procedure has begun, the non-surgical degrees of freedom are generally not adjusted. Therefore, the purpose of the non-surgical degrees of freedom is to allow for the robotic instrument 132 to be positioned near a target area of patient P prior to surgery.
  • the target area is the area where the surgical procedure is performed on the patient P.
  • the other category of degrees of freedom includes surgical degrees of freedom. In contrast with non-surgical degrees of freedom, the surgical degrees of freedom are generally not adjusted prior to surgery and are intended to be adjusted during the surgical procedure to allow for the robotic instrument 132 to be moved accordingly as part of the surgical procedure.
  • the robotic instrument 132 is generally configured for performing MIS and is responsive to inputs received from an input device.
  • the input device is under the control of a trained medical professional performing the MIS.
  • the configuration of the robotic instrument 132 is not particularly limited.
  • the robotic instrument 132 generally can move in accordance with at least one degree of freedom based on the received input.
  • the robotic instrument can include working members which are also not particularly limited. It is to be appreciated that the number of degrees of freedom as well as the type and number of working members of the robotic instrument can be modified to meet the needs of the type of surgical procedure to be performed.
  • the robotic instrument 132 can include two working members wherein each working member corresponds to a jaw of a pair of forceps.
  • the working members can be part of other surgical instruments such as scissors, blades, graspers, clip appliers, staplers, retractors, clamps or bi-polar cauterizers or combinations thereof.
  • the robotic instrument 132 can also only include a single working member such as imaging equipment, for example a camera or light source, or surgical instruments such as scalpels, hooks, needles, catheters, spatulas or mono-polar cauterizers.
  • the ability to position the robotic instrument 132 by adjusting the robotic arm 128 and the member 124 is advantageous because it can facilitate positioning the patient P on the surgical table 104 prior to surgery without interference from the surgical apparatus 108.
  • the surgical apparatus 108 is adjusted to allow the robotic instrument 132 to reach the target area.
  • the target area refers to the general area where incisions are made and the robotic instruments are inserted into the patient P.
  • the surgical apparatus 108a includes a base unit 120a, a member 124a, and a curved support 126a for supporting a robotic arm 128a, which in turn supports a robotic instrument 132a.
  • the base unit 120a is generally configured to support other components of the surgical apparatus 108a which includes a member 124a, and a curved support 126a.
  • the base 120a is also configured to support a robotic arm 128a connected to the curved support 126a.
  • the base unit 120a is mechanically structured to support the weight and movement of the member 124a, the curved support 126a and the robotic arm 128a.
  • the base unit 120a has a mass such that the base unit 120a can support the member 124a, the curved support 126a and the robotic arm 128a.
  • the means for supporting the robotic arm 128a is not particularly limited and can include bolting the robotic arm to various positions, magnetically (or electromagnetically) attaching the robotic arm, or attaching the robotic arm using a pin locking mechanism.
  • the curved support 126a can be modified to be a curved robotic arm holder that uses a clamping system to hold the robotic arm 128a.
  • the curved support 126a is generally positioned for a surgical procedure such that each robotic arm mount of the plurality of robotic arm mounts 164a is substantially equidistant from a target area 160a where incisions are made for the robotic instruments 132a to be inserted.
  • FIG. 4 another embodiment of a curved structure 126b is shown.
  • Like components of the curved structure 126b bear like reference to their counterparts in the curved structure 126a, except followed by the suffix "b".
  • the curved support 126b is generally configured to support a robotic arm (not shown in Figure 4 ) and its associated movements.
  • FIG. 6 and 7 another embodiment of a curved structure 126c is shown. Like components of the curved structure 126c bear like reference to their counterparts in the curved structure 126a, except followed by the suffix "c".
  • the curved support 126c is generally configured to support a robotic arm and its associated movements.
  • the robotic arm rail 172c extends substantially along the entire length of the curved support 126c. In other embodiments, the robotic arm rail 172c can only extend for a portion of the length of the curved support 126c. Alternatively, the robotic arm rail 172c can also extend beyond the length of the curved support 126c in some embodiments to provide a larger range of motion. In other embodiments still, the curved support 126c can be modified to use another mechanism to provide a slidable motion.
  • other mechanisms can include the use of slots or tracks which allow for a sliding motion.
  • the surgical apparatus 108d includes a base unit 120d, a member 124d, and a curved support 126d for supporting a plurality of robotic arms 128d, 129d, 130d and 131d.
  • the robotic arms 128d, 129d, 130d and 131d further support a plurality of robotic instruments 132d, 133d, 134d, and 135d, respectively.
  • the robotic instruments 132d, 133d, 134d, and 135d generally have different structures which include different types of surgical instruments. Therefore, it is to be appreciated that the plurality of arms allows for different tools to be used in a surgical procedure.
  • the robotic arms 128d, 129d, 130d and 131d can be interchanged with each other. Therefore, for surgical procedures which contemplate placement of the robotic arms 128d, 129d, 130d and 131d in different positions, the change can be made prior to the surgical procedure. Furthermore, it is to be appreciated that when the curved support 126d is designed such that each robotic arm mount of the curved support 126d is substantially equidistant from a target area, the interchanging of robotic arms 128d, 129d, 130d and 131d is facilitated since the length of each of the robotic arms 128d, 129d, 130d and 131d would be similar.
  • the design of the curved support 126d allows for the lengths of the robotic arms 128d, 129d, 130d and 131d to be decreased when compared with using a straight robotic arm support. Therefore, the physical footprint and volume of space occupied by the surgical apparatus will be decreased since the robotic arms would have to extend further to reach the target area. It is to be understood that this is particularly advantageous in an operating theater where space is often limited due to the large amount of equipment used in a surgical procedure.
  • the curved support 126e is generally configured to support a plurality of robotic arms 128e, 129e, 130e and 131e and their associated movements.
  • the curved support 126e includes a plurality of robotic arm rails 172e, 173e, 174e, and 175e which are slidably connected to the robotic arms 128e, 129e, 130e and 131e, respectively.
  • the robotic arm rails 172e, 173e, 174e, and 175e are configured to allow the robotic arms 128e, 129e, 130e and 131e, respectively, to slide independently relative to the curved support 126e. Therefore, an additional non-surgical degree of freedom will be provided for each robotic arm. Therefore, since the robotic arm arms 128e, 129e, 130e and 131e provide a non-surgical degree of freedom, locking mechanisms are also generally included to prevent movement during the surgical procedure.
  • each of the robotic arms 128e, 129e, 130e and 131e is connected to a separate track, the robotic arms 128e, 129e, 130e and 131e interchange positions by simply sliding past each other if space permits.
  • FIG. 11 another embodiment of a plurality of robotic arms 128f, 129f, 130f and 131f is shown. Like components bear like reference to their counterparts, except followed by the suffix "f".
  • the plurality of robotic arms 128f, 129f, 130f and 131f are generally configured allow for an addition non-surgical degree of freedom using off-axis apparatus 180f, 181f, 182f, and 183f.
  • the off-axis apparatus 180f, 181f, 182f, and 183f provides extension members 188f, 189f, 190f, and 191f, respectively, which rotate about axes 196f, 197f, 198f, and 199f. It is to be understood that the rotation about the axes 196f, 197f, 198f, and 199f allows the robotic arms 128f, 129f, 130f and 131f to be staggered relative to the curved support 126f.
  • the member 124g is generally configured to support the curved support 126g, the robotic arm 128g and their associated movements.
  • the member 124g is connected to the base 120g at a first end and to the curved support 126g at a second end.
  • the member 124g of the present embodiment differs from the member 124a of a previous embodiment by including four-bar linkages.
  • a first bar 250g and a second bar 254g are pivotally connected to a first connector 264g and a second connector 268g of the member 124g to form a first four-bar linkage.
  • the curved support 126d of the surgical apparatus 108d can be modified with teachings of the curved support 126c having a single robotic arm rail 172c. It is to be appreciated that in this embodiment, the robotic arms 128d, 129d, 130d and 131d would no longer be able to interchange positions by sliding past each other since the robotic arms 128d, 129d, 130d and 131d would then share the same track.
  • the non-surgical positioning of the robotic arms 128d, 129d, 130d and 131d as well as the member 124d and curved support 126d can be calculated and stored using a simulation program prior to a surgical procedure.
  • the simulation program can use patient specific data such as Magnetic Resonance Imaging (MRI), CT Scan and/or X-ray results to calculate a pre-configured position. It is to be appreciated that by using pre-configured positions determined outside of an operating theater, valuable time spent in the operating theater can be saved.
  • MRI Magnetic Resonance Imaging
  • CT Scan CT Scan
  • X-ray results to calculate a pre-configured position.
  • the method 500 will be discussed primarily in connection with the surgical apparatus 108 shown in Figure 1 . It is to be emphasized that the reference to the surgical apparatus 108 does not limit the application of the method 500 discussed below to only the surgical apparatus 108. Furthermore, the method 500 can be carried out using a processor programmed to control motors for adjusting non-surgical degrees of freedom.
  • Block 510 comprises adjusting the member 124 to position the curved support 126 above the patient P.
  • the manner in which the adjustment is carried out is not particularly limited.
  • the member can only be rotated about the axis 136. It is to be understood that in other embodiments, the member can have more degrees of freedom to allow for further adjustments. In other embodiments still, a motor can be used to facilitate the adjustment.
  • Block 530 comprises adjusting the robotic arm 128 in accordance with non-surgical adjustments such that the robotic instrument 132 is within range of a target area.
  • the manner in which the adjustment is carried out is not important.
  • the robotic arm 128 includes joints which can be adjusted according to a non-surgical degree of freedom and locked in place.
  • motors can drive a gear, lead screw or harmonic drive to carry out the adjustment.

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  • Engineering & Computer Science (AREA)
  • Health & Medical Sciences (AREA)
  • Robotics (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Mechanical Engineering (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pathology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Manipulator (AREA)
  • Endoscopes (AREA)

Claims (13)

  1. Appareil (108) pour des procédures médicales, l'appareil comprenant :
    une pluralité de bras robotiques (128e, 129e, 130e, 131e) ;
    une base (120) ;
    un élément (124) ayant des première et seconde extrémités, la première extrémité étant reliée à la base ; et
    un support incurvé (126) relié à la seconde extrémité de l'élément, le support incurvé comprenant une pluralité de rails de bras robotiques (172e, 173e, 174e, 175e), chaque rail de bras robotique étant configuré pour supporter de manière coulissante un bras respectif de la pluralité de bras robotiques de telle sorte que les bras robotiques peuvent changer de position en glissant les uns devant les autres.
  2. Appareil selon la revendication 1, l'élément étant configuré pour positionner le support incurvé.
  3. Appareil selon la revendication 2, l'élément étant articulable.
  4. Appareil selon la revendication 1, chaque rail incurvé étant configuré pour supporter le bras robotique respectif à une pluralité d'emplacements.
  5. Appareil selon la revendication 4, le support incurvé étant configuré pour être positionnable de telle sorte que chaque emplacement de la pluralité d'emplacements est sensiblement équidistant d'une zone cible.
  6. Appareil selon la revendication 1, un premier bras robotique de la pluralité de bras robotiques étant interchangeable avec un second bras robotique de la pluralité de bras robotiques.
  7. Appareil selon la revendication 1, le support incurvé comprenant un rail de support (168b) disposé sur le support incurvé et le rail de support étant relié à la seconde extrémité de l'élément de telle sorte que le support incurvé est configuré pour glisser par rapport à l'élément.
  8. Appareil selon la revendication 1, la première extrémité de l'élément étant reliée de manière pivotante à la base.
  9. Appareil selon la revendication 1, l'élément comprenant une première partie et une seconde partie, la première partie étant reliée de manière pivotante à la seconde partie.
  10. Appareil selon la revendication 1, le support incurvé étant relié de manière pivotante à la seconde extrémité de l'élément.
  11. Appareil selon la revendication 1, la première extrémité de l'élément étant reliée de manière rotative à la base.
  12. Appareil selon la revendication 1, le support incurvé étant relié de manière rotative à la seconde extrémité de l'élément.
  13. Procédé de positionnement d'un instrument robotique pour réaliser une chirurgie robotique, avant une procédure chirurgicale, le procédé comprenant :
    l'ajustement d'un élément (124) pour positionner un support incurvé (126) comprenant une pluralité de rails de bras robotiques (172e, 173e, 174e, 175e) configurés chacun pour supporter de manière coulissante un bras robotique respectif (128e, 129e, 130e, 131e) de telle sorte que les bras robotiques peuvent changer de position en glissant les uns devant les autres ;
    le positionnement d'un bras robotique à un emplacement le long d'un rail de bras robotique respectif sur le support incurvé ; et
    l'ajustement du bras robotique en fonction d'un réglage non chirurgical de telle sorte que l'instrument robotique se situe dans le champ d'une région cible.
EP11876682.3A 2011-11-30 2011-12-21 Appareil et procédé destinés à supporter un bras robotique Active EP2785267B1 (fr)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201161565498P 2011-11-30 2011-11-30
US201161570560P 2011-12-14 2011-12-14
PCT/CA2011/001386 WO2013078529A1 (fr) 2011-11-30 2011-12-21 Appareil et procédé destinés à supporter un bras robotique

Publications (3)

Publication Number Publication Date
EP2785267A1 EP2785267A1 (fr) 2014-10-08
EP2785267A4 EP2785267A4 (fr) 2015-07-22
EP2785267B1 true EP2785267B1 (fr) 2022-01-12

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EP11876682.3A Active EP2785267B1 (fr) 2011-11-30 2011-12-21 Appareil et procédé destinés à supporter un bras robotique

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US (3) US20140249546A1 (fr)
EP (1) EP2785267B1 (fr)
WO (1) WO2013078529A1 (fr)

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US20200289236A1 (en) 2020-09-17
US20140249546A1 (en) 2014-09-04

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